Innovation and Change

Sustainable Solutions

While we continue to be anchored by our fundamental mission to provide access to affordable, quality health care, we must find ways to achieve that within a system that continues to struggle with the seemingly insurmountable challenges of growing medical needs and diminishing financial resources. We must work together to fix our system and do so in a way that is fiscally responsible and sustainable over the long term.

To be fiscally sustainable, we believe the health care system needs to shift from payment based on the number of services provided to a reimbursement system based on quality and cost-effective outcomes.

HMSA has long been an advocate of reimbursing providers based on the quality of care they provide, a pay-for-performance model in which physicians, hospitals, and other health care providers receive financial rewards for practicing evidence-based medicine, preventing disease, and improving the quality of health care. Implementing this type of solution throughout Hawaii’s health care system will require cooperation and collaboration between all health care stakeholders.